NPI | 1114180163 |
---|---|
Former Name | CHRISTINA M BATEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 0678) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001132) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2017-02-23 |